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Overview of the Electronic Healthcare Accreditation Commission

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Presentation on theme: "Overview of the Electronic Healthcare Accreditation Commission"— Presentation transcript:

1 Overview of the Electronic Healthcare Accreditation Commission
General

2 Outline Overview Organization Value Proposition Accreditation Process
Criteria Development Programs HITRUST Assessor

3 Overview Governed by a Commission of at least 9 healthcare industry stakeholders from private and public sector organizations Guided by peer evaluation promoting quality service, innovation, cooperation and open competition EHNAC is a nationally recognized, non-profit healthcare accreditation organization established in 1995 to develop standard criteria and accredit organizations that electronically exchange healthcare data. EHNAC’s publicly-available criteria are developed and continually enhanced through the input of industry experts from sectors all across healthcare. Our Mission – Promote accreditation in the healthcare industry to achieve quality and trust in healthcare information exchange through adoption and implementation of standards.

4 Organizational Structure
Executive Director Operations Vice President Commission Committees Site Reviewers /Auditors Executive Finance Criteria Nominating Marketing

5 Officers Lee Barrett Executive Director Debra Hopkinson
Vice President Operations

6 Commission Minimum of 9 healthcare public and private sector stakeholders Industry sectors represented may include Electronic health networks Regulatory agencies Payers Health Information Exchanges Hospital and physicians providers Consumer organizations Financial services Vendors

7 Commissioners Bill Alfveby (Surescripts) Catherine Costello (OHIP)
Jay Eisenstock (Aetna) Priscilla Holland NACHA – The Electronic Payments Association) David Kibbe (DirectTrust) Sharon Klein (Pepper Hamilton) Luigi Leblanc (Zane Networks) Bryan Matsuura (Kaiser Permanente) Deborah Meisner (Change Healthcare) Ted Marsh (High Point Solutions) Thomas Meyers (America’s Health Insurance Plans) David Sharp (Maryland Health Care Commission) Robert Tennant (Medical Group Management Association)

8 Commissioners

9 Committees Finance Committee 4 Commissioners (minimum 3)
Executive Committee Executive Director 4 Commissioners (chairs of the other committees) Finance Committee 4 Commissioners (minimum 3) Criteria Committee 12 Commissioners (minimum 3) 33 Public Members Nominating Committee 8 Commissioners (minimum 3)

10 Site Reviewers/Auditors
Lesley Berkeyheiser N-Tegrity Solutions Group Mark Cone N-Tegrity Solutions Group Mark McLaughlin Mark McLaughlin Consulting Ron Moser Moserhaus Consulting, LLC Jim Whicker Jim Whicker Consulting Veteran healthcare industry subject matter experts on both business and HIT Comprehensive knowledge of the EHNAC criteria Independent, not employees of accredited organizations Bound by policies protecting candidate information Bound by conflict of interest and confidentiality policies

11 The Benefits – EHNAC Accreditation
Provides independent and objective industry recognition to ensure a higher-level of stakeholder trust Drives regular, comprehensive and objective evaluation of policies, procedures and controls Gives organizations a competitive advantage in a crowded marketplace by confirming the ability to manage health data with integrity and effectiveness Uncovers areas to reduce costs, improve operational performance and increase customer satisfaction  

12 The Benefits – EHNAC Accreditation, Continued
Identifies privacy, security, confidentiality and business risk exposures and mitigation strategies Allows organizations to meet regulatory compliance requirements and legislative mandates including: HIPAA, ARRA/HITECH, Affordable Healthcare Act, Omnibus Rule and more State of Maryland requirements for electronic health networks, ePrescribing and managed service organizations State of New Jersey requirements for electronic health networks State of Texas requirements for health information exchanges

13 EHNAC Accreditation Process
Candidate is approved and has 1 year to complete. Maximum 8 mos. to submit the self-assessment allowing up to 4 mos. for site review(s), final report and approval process Application Ensures program qualification, collects information and fees Self-Assessment Demonstrates evidence of compliance with criteria Site Review Tests Self-Assessment claims via on-site review Award Awards level of accreditation achieved (Full, Provisional, Interim, Failed)

14 Criteria Development Criteria released for public comment, with press release Comment period of at least 60 calendar days Criteria Committee recommends new and modified criteria to Commission Commission Approves, Rejects, or sends back to Criteria Committee Development Final modifications per comment period Executive Committee recommends final revision to Commission

15 EHNAC Accreditation Programs
ACOAP Accountable Care Organization Accreditation Program DRAP Data Registry Accreditation Program DTAAP Direct Trust Agent Accreditation Programs HIEAP Health Information Exchange Accreditation Program HNAP Healthcare Network Accreditation Program ePAP ePrescribing Accreditation Programs PMSAP Systems Accreditation Programs OSAP Outsourced Services Accreditation Programs FSAP Financial Services Accreditation Programs CEAP Cloud Enabled Services Accreditation Program MSOAP Management Service Organization Accreditation Program

16 Programs and Subcategories
DRAP ACOAP OSAP PMSAP HIEAP CEAP MSOAP ePAP-EHN EPCSCP-Pharmacy EPCSCP - Prescribing ePAP OSAP HIE OSAP Network Admin OSAP Data Center OSAP Call Center OSAP DRP Site OSAP Media Storage OSAP Printing OSAP Scanning OSAP Product Dev OSAP ACO FSAP-EHN FSAP-Lockbox FSAP HNAP-EHN HNAP-TPA HNAP-Medical Biller HNAP-Payer HNAP DTAAP-HISP DTAAP-CA DTAAP-RA DTAAP

17 Accreditation Pricing Model
Fee Categories for All Programs Size Revenue Amount Annual Fee Multiple Program Fee Site Visit Fee/Day DTAAP, PMSAP & EPCS SV Fee/Day Very Small Under $3M $2750 $1375 $3750 $5500 Small & Outsourced Program Greater Than $3 Less Than $8M $3500 $1750 Medium Greater Than $8 Less Than $20M $7000 $6500 $8500 Med/Large Greater Than $20 Less Than $50M $11000 Large Greater Than $50M Less Than $75M $16500 $8250 Very Large Greater Than $75M $22000 Note: Federal, state non-profit organizations are included in the Small Size above.

18 Across the Healthcare Spectrum

19 HITRUST CSF Certification
The HITRUST CSF certification – when attained in conjunction with the industry-specific EHNAC accreditation – demonstrates to business partners and prospects a commitment to the highest standards of data privacy and security. The HITRUST CSF provides a comprehensive HIPAA privacy and security review, including HITECH and other applicable regulatory drivers such as PCI DSS, FTC Red Flags Rules and the FDA, etc.   The process includes a review of an organization’s risk management program and cyber readiness, and ensures consistency and accuracy of reporting on requirements for covered entities and business associates. EHNAC is the only organization with the ability to provide both EHNAC accreditation and HITRUST CSF certification.

20 Why choose EHNAC as your HITRUST CSF Assessor?
Using EHNAC for your HITRUST CSF assessment provides consistency between both certification and accreditation programs for HIPAA privacy and security compliance. Organizations achieving HITRUST certification will have 100% of their privacy and security credited to their EHNAC accreditation. Organizations that already have EHNAC accreditation will have developed the majority of their HIPAA-related HITRUST CSF privacy and security to apply to that certification. EHNAC site reviewers are also HITRUST Practitioners, making it easier for organizations to undergo audits. Obtaining both HITRUST CSF certification and EHNAC accreditation at the same time significantly reduces the time, expense and redundancy needed to prepare documentation and undergo required site visits. EHNAC is participating on key HITRUST workgroups, advocating strong continuing education and industry requirements regarding privacy and security are communicated and included in future CSF versions.

21 Contact Information Debra Hopkinson RN MS twitter.com/EHNAC linkedin.com/company/ehnac youtube.com/user/EHNAC facebook.com/Ehnac-Electronic-Healthcare-Network-Accreditation-Commission /


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